Bikmazer Alperen, Koyuncu Zehra, Kavruk Erdim Nese, Kadak Muhammed Tayyib, Tarakcioglu Mahmut Cem, Gokler Enes, Gormez Vahdet, Ozer Omer Akil
Psychiatry. 2023 Spring;86(1):17-28. doi: 10.1080/00332747.2022.2114268. Epub 2022 Aug 30.
: Dissociative symptoms are considered risk factors for suicide and non-suicidal self-injury (NSSI). In this study, the relationship between suicidal behaviors and NSSI with dissociative symptoms in adolescents with a history of Child Sexual Abuse (CSA) was investigated. : A total of 100 adolescents with a history of CSA were evaluated with a detailed forensic psychiatric interview. Dissociative symptoms were measured with the self-report Adolescent Dissociative Experiences Scale (A-DES) and the parent-reported Child Dissociative Checklist (CDC). : While dissociative symptoms did not differ between adolescents with and without suicide attempts (CDC; .068 and A-DES; .060), they were significantly higher in adolescents with non-suicidal self-harming behavior (CDC; .001 and A-DES; .001). Suicide attempts and NSSI were more common in those who reported genital touching as a type of sexual abuse (respectively, .003; .048). In regression analysis; history of psychiatric treatment (OR = 9.09 [95% CI = 1.52, 54.29]) and NSSI (OR = 8.18 [95% CI = 2.01, 33.23]) were independently associated with suicide attempts. In addition, parent-reported dissociative symptoms (CDC scores) (OR = 1.27 [95% CI = 1.06, 1.53] and suicide attempt (OR = 8.09 [95%CI = 1.96,33.42] showed independent association with NSSI. : Dissociative symptoms may be predictive factors for NSSI and should be considered in risk assessment of adolescents with a history of CSA.
解离症状被认为是自杀和非自杀性自伤（NSSI）的风险因素。在本研究中，调查了有儿童性虐待（CSA）史的青少年中自杀行为和NSSI与解离症状之间的关系。
共有100名有CSA史的青少年接受了详细的法医精神病学访谈。解离症状通过自我报告的青少年解离体验量表（A-DES）和家长报告的儿童解离检查表（CDC）进行测量。
虽然有自杀未遂和无自杀未遂的青少年之间的解离症状没有差异（CDC；.068和A-DES；.060），但有非自杀性自伤行为的青少年的解离症状明显更高（CDC；.001和A-DES；.001）。在那些报告生殖器触摸作为一种性虐待类型的人中，自杀未遂和NSSI更为常见（分别为.003；.048）。在回归分析中，精神科治疗史（OR = 9.09 [95% CI = 1.52, 54.29]）和NSSI（OR = 8.18 [95% CI = 2.01, 33.23]）与自杀未遂独立相关。此外，家长报告的解离症状（CDC评分）（OR = 1.27 [95% CI = 1.06, 1.53]）和自杀未遂（OR = 8.09 [95%CI = 1.96,33.42]）与NSSI显示出独立关联。
解离症状可能是NSSI的预测因素，在有CSA史的青少年的风险评估中应予以考虑。
